| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $243.77 | $336.54 | $1,290.30 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $375.87 | $442.20 | $615.19 | |
Cigna
| Facility | $442.20 | $442.20 | $442.20 | |
Cigna
| Professional | $375.87 | $475.49 | $650.09 | |
Providence
| Facility | $249.09 | $377.68 | $652.60 | |
Providence
| Professional | $367.21 | $522.44 | $731.92 | |
United
| Professional | $582.30 | $652.59 | $708.58 |